STEPHEN PREFONTAINE, DO, PLC
NPI 1124274006
Family Medicine in Grand Rapids, MI

Active since August 12, 2008
4081 CASCADE RD SE, SUITE A, GRAND RAPIDS, MI 49546(616) 336-7662(616) 336-7682 Get Directions Write a Review

NPPES record last updated: August 12, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephen Prefontaine, Do, Plc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHEN PREFONTAINE, DO, PLC (NPI 1124274006) is a healthcare organization registered as a family medicine in Grand Rapids, Michigan and active in the NPI registry since August 2008. The organization lists Stephen Prefontaine, Owner, as its authorized official.

NPPES Registry Identity

NPI1124274006
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSTEPHEN PREFONTAINE, DO, PLC
Location Address4081 CASCADE RD SE, SUITE AGrand Rapids, MI 49546-2170
Mailing Address4081 Cascade Rd Se, Suite AGrand Rapids, MI 49546-2170 · (616) 336-7662 · Fax (616) 336-7682
Fax(616) 336-7682
Organization SubpartNo
Authorized OfficialStephen PrefontaineOwner · (616) 336-7662
Enumeration DateAugust 12, 2008
NPI 1124274006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MI · 5101011668
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4081 CASCADE RD SE, Grand Rapids, MI 49546

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
4081 CASCADE RD SE, SUITE A
GRAND RAPIDS, MI 49546
Clinic/Center (Hearing and Speech)
4081 CASCADE RD SE
GRAND RAPIDS, MI 49546
Family Medicine
4081 CASCADE RD SE, STE A
GRAND RAPIDS, MI 49546
Hearing Instrument Specialist
4081 CASCADE RD SE
GRAND RAPIDS, MI 49546
Physician Assistant (Medical)
4081 CASCADE RD SE, SUITE A
GRAND RAPIDS, MI 49546

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephen Prefontaine, Do, Plc's NPI number?

The NPI number for Stephen Prefontaine, Do, Plc is 1124274006. It was assigned to this organization in the NPPES registry on August 12, 2008.

Where is Stephen Prefontaine, Do, Plc located?

Stephen Prefontaine, Do, Plc is located at 4081 Cascade Rd SE Suite A, Grand Rapids, MI 49546. The listed phone number is (616) 336-7662.

What is Stephen Prefontaine, Do, Plc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Stephen Prefontaine, Do, Plc was last updated on August 12, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.